| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,495 |
4,224 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,876 |
1,798 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
706 |
662 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
110 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,596 |
2,399 |
$4K |
| 1159F |
|
3,008 |
2,753 |
$3K |
| 1160F |
|
3,009 |
2,753 |
$3K |
| 3008F |
|
2,868 |
2,640 |
$3K |
| 3046F |
|
346 |
313 |
$471.39 |
| 3045F |
|
323 |
280 |
$290.00 |
| 3044F |
|
267 |
241 |
$170.00 |
| 3051F |
|
33 |
26 |
$60.00 |
| 82962 |
|
18 |
16 |
$50.40 |
| 3052F |
|
33 |
30 |
$50.00 |
| 3080F |
|
82 |
81 |
$20.53 |
| 3079F |
|
166 |
163 |
$20.00 |
| 3077F |
|
192 |
189 |
$14.98 |
| 3075F |
|
58 |
55 |
$10.55 |
| 3074F |
|
295 |
291 |
$10.00 |
| 3078F |
|
292 |
286 |
$10.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
227 |
200 |
$0.00 |